MEDICARE: OPREX MEDICAL GROUP, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician

General Provider Information

NPI Number	:	1912689084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPREX MEDICAL GROUP, PLLC

Provider Business Mailing Address
First Line	:	12121 RICHMOND AVE STE 104
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2420
Country	:	US
Telephone Number	:	281-920-5558
Fax Number	:	280-920-5568

Provider Business Practice Location Address
First Line	:	2615 SOUTHWEST FWY STE 290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4611
Country	:	US
Telephone Number	:	713-523-8800
Fax Number	:	713-523-8812

Authorized Official
Title or Position	:	MD/OWNER
Name	:	RAZA PASHA
Credential	:
Telephone Number	:	281-920-5558

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	09/28/2023

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